Two-Stage Implant
Reconstruction
HOME . RECONSTRUCTIVE SURGERY CALGARY
Two-Stage Implant
Reconstruction
HOME . RECONSTRUCTIVE SURGERY CALGARY
A Personalized Approach to Restoring Confidence
When the amount of chest skin is insufficient to complete a breast reconstruction immediately after a mastectomy, two-stage implant reconstruction provides a solution that gradually expands the tissue to accommodate a full-sized implant. This method ensures that the skin is properly prepared for the final implant placement, resulting in a natural and balanced outcome.
A tissue expander, a temporary balloon-like device, is inserted beneath the pectoral muscle and chest skin during the first stage of the reconstruction process. Over several months, the tissue expander is gradually filled with saline to stretch the skin, creating a space large enough for the final implant. At the second stage of surgery, the expander is replaced with a soft, permanent implant that completes the reconstruction.
Is Two-Stage Implant Reconstruction Right for You?
You may be a good candidate for two-stage implant reconstruction if you have thinner skin after mastectomy, require additional tissue support, or are planning to have radiation therapy. This approach is ideal when more control over the final breast size and shape is needed.
It works especially well for women with smaller breasts or those who need time to gradually expand the skin before placing the final implant. While it involves two procedures spaced a few months apart, it often provides better long-term results and symmetry.
Benefits of Two-Stage Implant Reconstruction?
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Better Skin Expansion:
Gradually stretches the skin and muscle for more natural-looking coverage.
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Greater Control Over Size & Shape:
Allows precise adjustment of your final breast size and symmetry.
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Safer with Radiation:
Preferred option if radiation therapy is part of your treatment plan.
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Improved Symmetry:
Often produces better matching between both breasts.
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Lower Risk of Complications:
Less tension on the skin during healing reduces implant-related issues.
Two-Stage Implant Reconstruction Procedure: Customized Steps for Lasting Results
Dr. Yau ensures that each step of the two-stage implant reconstruction is performed with precision and care. The first stage typically lasts 1.5 hours for one breast and 3 hours for both breasts. The second stage, which completes the reconstruction, takes approximately 1 hour for one breast and 2 hours for both breasts.
Step 1: Tissue Expander Placement
During the first surgery, Dr. Yau places a temporary tissue expander beneath the pectoralis major muscle. This expander is designed to gradually stretch the chest skin to make room for the final implant.
Step 2: Gradual Expansion
Over the course of several months, the tissue expander is sequentially filled with saline during follow-up visits with Dr. Yau. This expansion process, typically occurring every 2-3 weeks, gradually stretches the skin and tissues to the desired size.
Step 3: Implant Placement
Once the tissue expander has created sufficient space, the second stage of surgery is performed. The tissue expander is replaced with a soft, permanent implant, providing the final contour and volume to the reconstructed breast.
Recovery After Two-Stage Implant Reconstruction:
Gentle Guidance for a Smooth Recovery
First Stage Hospital Stay:
Patients stay overnight in the hospital after the first surgery for monitoring.
Second Stage:
The second surgery is performed as a day procedure — no overnight stay required.
Drainage Tubes:
Drains are placed in the breast and are typically removed 10 to 14 days after surgery.
Scarring:
There will be a scar across the breast that fades significantly over time.
Return to Activities:
Most patients can resume regular daily activities within 10 days.
Exercise:
Strenuous exercise and heavy lifting can usually resume after 4 weeks.
Nipple Reconstruction:
Nipple reconstruction, if desired, is typically performed 3 months after the final surgery.
